Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $151.36 / $426.58	Facility	26	$70.79	$151.36	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $478.63 / $1,288.25	Professional		$199.53	$478.63	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $114.82 / $251.19	Professional	26	$67.61	$114.82	$251.19
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $158.49 / $371.54 / $1,230.27	Professional	52	$158.49	$371.54	$1,230.27
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $239.88 / $562.34	Professional	TC	$125.89	$239.88	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $213.80 / $281.84	Professional		$151.36	$213.80	$281.84
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $100.00 / $112.20	Professional	26	$52.48	$100.00	$112.20
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $95.50 / $186.21	Professional	TC	$95.50	$95.50	$186.21
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $467.74	Professional		$263.03	$263.03	$467.74
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $87.10 / $114.82	Professional	26	$83.18	$87.10	$114.82
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $89.13 / $117.49	Professional	TC	$72.44	$89.13	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $338.84 / $630.96	Professional		$239.88	$338.84	$630.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $95.50 / $173.78	Professional	26	$89.13	$95.50	$173.78
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $223.87 / $707.95	Professional	TC	$151.36	$223.87	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $407.38 / $758.58	Professional		$194.98	$407.38	$758.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $87.10 / $144.54	Professional	26	$53.70	$87.10	$144.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $302.00 / $645.65	Professional	TC	$125.89	$302.00	$645.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $269.15 / $891.25	Professional		$199.53	$269.15	$891.25
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $93.33 / $112.20	Professional	26	$69.18	$93.33	$112.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $169.82 / $213.80	Professional	TC	$128.82	$169.82	$213.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $309.03 / $616.60	Professional		$181.97	$309.03	$616.60
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $83.18 / $147.91	Professional	26	$60.26	$83.18	$147.91
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $194.98 / $489.78	Professional	TC	$112.20	$194.98	$489.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $229.09 / $416.87	Professional		$208.93	$229.09	$416.87
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $85.11 / $123.03	Professional	26	$77.62	$85.11	$123.03
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $40.74 / $40.74 / $194.98	Professional	52	$40.74	$40.74	$194.98
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $223.87 / $269.15	Professional	TC	$218.78	$223.87	$269.15
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $263.03 / $501.19	Professional		$223.87	$263.03	$501.19
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $87.10 / $138.04	Professional	26	$83.18	$87.10	$138.04
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $114.82 / $2,570.40	Professional	TC	$44.67	$114.82	$2,570.40
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $102.33 / $281.84	Facility	26	$70.79	$102.33	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $407.38 / $851.14	Professional		$213.80	$407.38	$851.14
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $120.23 / $204.17	Professional	26	$72.44	$120.23	$204.17
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $263.03 / $575.44	Professional	TC	$134.90	$263.03	$575.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $288.40 / $707.95	Professional		$77.62	$288.40	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $81.28 / $81.28	Facility	26	$69.18	$81.28	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $323.59 / $549.54	Professional		$190.55	$323.59	$549.54
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $72.44 / $81.28	Professional	26	$67.61	$72.44	$81.28
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $134.90 / $467.74	Professional	TC	$120.23	$134.90	$467.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $288.40 / $691.83	Professional		$177.83	$288.40	$691.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $83.18 / $151.36	Professional	26	$60.26	$83.18	$151.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $177.83 / $602.56	Professional	TC	$112.20	$177.83	$602.56

Pennsylvania rates for HCPCS 72148